113 (2) NGv�j�/�� . �.. LOT NO. -77 ,
NO. STREET-
APPlti4TJR APPLIANCE PERMIT
TOF CUPERTINO
{MAR 25 '}960 112Date MAR 2 2 1960 196..... Permit No. i/1
CITY OF CUPERTINO Fees Z.rO
Application is hereby made to the City of Cupertino for a permit to install
gas appliances as listed on the reverse side hereof, and agrees to install said
appliances in accordance with the provisions of the Plumbing rode of the City
of Cupertino, and all other laws applicable thereto.
Use of Premises dt� -�
n Owner _ Address
By IVISIUN Addres
180 E. SUNN ANS AVE., CAh1PBELL, CA "t"F' /l1iJ
Phone PLUMBING INSPECTOR
.
• r17 GAS'.SERVIC. • TI�� r,. orFlcs
� +�_" : COPY
O=
;. ,• r BUILDING INSPECT1S OFFICE- .d• •
' CITY'OI'CUPS FN;g
>- 40
3 '
To
You are hereby autho �ed to conned the GASse e for,..
Owni r.or Tenant ............. fl; � c!' 1•V .
v - . ......... ...........
•
j.
. .
Y
New Service .......... ,
No. of Meiers ...:...Z..........'... s; Reconnecf L..
....v:-E:t ---':. -
. . Move.Service
.................
,INo. of Add. Meters .:... , , f•, Move Me
tor
I
j ,....' .
11 i•:,
;✓PLUMBING INSPECTOR T
3 110 6/59-500